New Method of Endoscopic Hemostasis in Complicated Bleeding Gastroduodenal Ulcers

Abstract

The article presents an improved technique of endoscopic hemostasis in gastroduodenal bleeding and provides data on the assessment of its clinical effectiveness. The proposed method of hemostasis for gastroduodenal ulcers complicated by bleeding is carried out by endoscopic application of a new domestic hemostatic composite made on the basis of the Heprocel substance. The polymer in the form of a powdery substance was sprayed endoscopically using a special delivery device. The formation of a film over the ulcer implied not only an increase in the hemostatic effect, but also the provision of a barrier (protective) function from the effects of digestive juice. The results showed that the proposed method of endohemostasis in gastroduodenal ulcerative bleeding can significantly reduce the risk of recurrence of hemorrhagic syndrome, the need for surgical treatment and mortality rates.